QC Survey – Energy Star Lighting Electric Inc

Project Information

Project Name *

Project Address

Apt, suite, etc.

Country

City

State

Zip code

Store #

WO # *

PO # *

Date *

Project Manager *

Foreman *

Crew (List all names, first and last)

QC Questions - Installation

Is the fixture securely mounted? *

Are the required seismic restrains installed? *

Are any unprotected wires visible outside the fixture? (including above ceiling) *

Are all electrical connections secure? *

Are any conductors exposed? *

All KO's and entry points properly closed? *

All penetrations sealed? Unused entries plugged/sealed? *

Is the fixture square / plumb / straight? *

Is the fixture lit? *

Are all unused wires insulated? *

Is the fixture clean and fingerprint free? *

Is the cover fully seated? Lens straight? *

QC Question – Safety

Is everyone wearing safety goggles? *

Is everyone wearing hard hats? *

Is everyone wearing gloves? *

Is everyone wearing high visibility jackets? *

Everyone working on lifts tied off? *

QC Question – Equipment

Is all equipment fully functioning? *

Have any safety features been disabled or tampered with? *

Are all sensors properly attached and functioning? *

Is Equipment leaking any fluids or causing damage to any surfaces? *

Did the crew have all necessary tools to complete the job? *

QC Question - Conduct

Are employees neatly dressed? *

Is everyone wearing company attire? *

Anyone seen smoking on customer premises? *

Anyone using foul language? *

Everyone acting professional? *

QC Question - Cleanliness

Has all identifiable trash been removed from work area? *

Has work area been kept clean & safe? *

Have egress paths been kept clean for the customer, at all times? *

If the trash is to be left on premises, if it palletized and wrapped? *

QC Question – Customer concerns

Was any customer property or product damaged during installation? *

Customer informed of location of any bulbs/product left on site for maintenance? *

Is the customer satisfied with our conduct? *

Is the customer satisfied with the installation? *

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Inspector *

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Manager

Manager Notes

Manager Signature

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